A 32-year-old woman who emigrated from Eastern Europe is evaluated for persistent epigastric pain and bloating. Previous assessments showed a normal complete blood
count and comprehensive metabolic panel and a negative result on serologic testing for celiac disease. Serum testing for Helicobacter pylori IgG was positive. She was
treated with 20 mg of omeprazole, 1 g of amoxicillin, and 500 mg of clarithromycin,each taken twice daily for 10 days, but her symptoms persisted. How would you further evaluate and treat this patient?
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